Senior Provider Relations Representative Jobs in Wisconsin

Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists we still honor today as the “12 Angry Seniors.” Their mission continues to guide everything we do. Today, SCAN is a nonprofit health organization serving more than 500,000 people across Arizona, California, Nevada, New Mexico, Texas, and Washington, with over $8 billion in annual revenue. With nearly five decades of experience, we have built a distinctive, values-driven platform dedicated to improving care for older adults. Our work spans Medicare Advantage, fully integrated care models, primary care, care for the most medically and socially complex populations, and next-generation care delivery models. Across all of this, we are united by a shared commitment: combining compassion with discipline, innovation with stewardship, and growth with integrity. At SCAN, we believe scale should strengthen—not dilute—our mission. We are building the future of care for older adults, grounded in purpose, accountability, and respect for the people and communities we serve.

The Senior Lead provides supervision and oversight across markets, identifies performance trends, and ensures consistent execution of provider performance initiatives. This role also serves as a subject‑matter leader, coaching and developing other Provider Relations Leads and elevating overall team effectiveness. The Senior Provider Relations Lead has proven experience developing relationships with providers and understanding their operations to drive performance improvements. You Will Serves as the senior strategic contact and primary escalation point for assigned high‑complexity provider organizations, including IPAs, MSOs, medical groups, hospitals, and ancillary partners, maintaining executive‑level engagement, accountability, and alignment with SCAN’s strategic, financial, and regulatory objectives. Owns and drives regional provider performance strategy across assigned markets, delivering measurable improvements in quality outcomes, utilization management, cost performance, risk adjustment, network adequacy, access, and growth initiatives, while ensuring consistent execution of enterprise performance priorities. Leads complex performance reviews and executive‑level governance forums with provider leadership, translating multi‑dimensional performance data into actionable improvement plans that advance quality, financial sustainability, and operational effectiveness. Partners cross‑functionally at a senior level with Contracting, Network Operations, Clinical, Quality, Analytics, and Growth teams to align enterprise strategies, coordinate provider initiatives, and ensure integrated execution across markets. Analyzes provider‑level performance data across regions to identify trends, risks, and opportunities; develops, implements, and monitors corrective action plans with defined milestones, governance oversight, and performance accountability. Leads investigation and resolution of high‑impact, multi‑department escalations, conducting structured root cause analysis and implementing sustainable process and performance improvements that mitigate operational, financial, and regulatory risk. Supports strategic contracting and provider partnership efforts by aligning operational readiness, performance expectations, and governance frameworks to ensure successful execution of contractual, delegated, and risk‑based arrangements. Provides subject‑matter leadership by coaching and mentoring Provider Relations Leads, strengthening performance management capability, data fluency, executive presence, and consistency of provider engagement practices across the team. Ensures provider alignment with regulatory, contractual, delegation oversight, and compliance standards, proactively identifying and addressing risks to support sustained performance, audit readiness, and organizational integrity. Drives continuous improvement initiatives across assigned markets that enhance provider experience, operational efficiency, and performance accountability, while advancing scalable best practices and enterprise consistency. Actively support the achievement of SCAN’s Vision and Goals. Other duties as assigned.

• Bachelor's Degree or equivalent experience
• 7 years of relevant healthcare / health plan or Medicare Advantage experience in a Provider Relations or similar role
• Experience working with delegated or risk‑based provider arrangements
• Experience leading cross‑functional initiatives
• Experience presenting to executive provider leadership
• Experience managing complex provider relationships
• Demonstrated performance improvement leadership
• Advanced technical skills for functional area
• Advanced problem‑solving skills and critical thinking capabilities that tie to functional strategy
• Advanced technical skills for functional area
• Advanced ability to partner with variety of functions across the enterprise
• Advanced experience developing relationships with all provider types
• Must live in or within a reasonable commute of the Houston, TX area

• Base Pay Range: $80,300 - $138,330 annually
• Work Mode: Mostly Remote with travel throughout the assigned territory
• An annual employee bonus program
• Robust Wellness Program
• Generous paid‑time‑off (PTO)
• 11 paid holidays per year, plus 1 birthday holiday, and 1 floating holiday
• Excellent 401(k) Retirement Saving Plan with employer match
• Robust employee recognition program
• Tuition reimbursement
• An opportunity to become part of a team that makes a difference to our members and our community every day!
• We're always looking for talented people to join our team!

At SCAN we believe that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more. SCAN is proud to be an Equal Employment Opportunity and affirmative action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law.

A background check is required.

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)

Become part of a mission‑driven team that makes a difference in the lives of seniors every day. SCAN has a long history of finding and investing in ways to meet seniors' needs. This focus is what attracts employees to SCAN. For each and every one of us, the SCAN mission is personal. Keeping Seniors Healthy and Independent is both our mission and our passion. That same commitment carries over to our employees. We provide the training, tools and support necessary to do your work. We reward effort and celebrate success. SCAN both develops and attracts people who are leading experts in their respective fields. If the SCAN mission is one you believe in too, we invite you to explore the career opportunities at SCAN.

Why consider a career at SCAN?

• A competitive compensation and benefits program;
• An annual employee bonus program;
• Generous paid‑time‑off (PTO);
• Eleven paid holidays per year;
• Excellent Retirement Savings program;
• A work‑life balance;
• An opportunity to become part of a team that makes a difference to our members and our community every day!